title: Effect of pneumoperitoneum on intracranial pressure during supratentorial craniotomy: a case report.
abstract: Laparoscopic surgery has become the method of choice for many procedures previously performed by open techniques. However, its use in patients with a potentially decreased intracranial compliance warrants caution. We report a case of combined glioma excision and laparoscopic cholecystectomy procedures with evaluation of the effects of pneumoperitoneum on ICP and operative field. The clinical implications, safety and recommendations of conducting laparoscopic surgeries in neurosurgical patients are discussed. Performing pneumoperitoneum in patients with marginal intracranial compliance needs interdisciplinary discussions and ICP monitoring is mandatory.
authors.affiliation: Department Anaesthesia and Intensive Care, Postgraduate Institute of Medical Education and Research, Chandigarh, India.
authors.forename: S
authors.initials: S
authors.lastname: Kataria
authors.forename: S V
authors.initials: SV
authors.lastname: Rakesh
authors.forename: N B
authors.initials: NB
authors.lastname: Panda
authors.forename: H
authors.initials: H
authors.lastname: Bhagat
authors.forename: K K
authors.initials: KK
authors.lastname: Mukherjee
authors.forename: T D
authors.initials: TD
authors.lastname: Yadav
mesh_terms: D000328:Adult; D017081:Cholecystectomy, Laparoscopic; D003399:Craniotomy; D005260:Female; D005910:Glioma / Q000601:surgery*; D006801:Humans; D007427:Intracranial Pressure; D011028:Pneumoperitoneum, Artificial; D015173:Supratentorial Neoplasms / Q000601:surgery*